Organization
CISERO TRANSPORTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDELL HUNTER (OWNER)
(414) 897-2667
Entity
Organization
Contact information
Practice address
8127 W BRENTWOOD AVE, MILWAUKEE, WI 53223-5528
(414) 897-2667
Mailing address
8127 W BRENTWOOD AVE, MILWAUKEE, WI 53223-5528
(414) 897-2667
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
1234567
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007889
—
WI
Enumeration date
10/31/2011
Last updated
10/31/2011
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